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Back 💊 Frisium (Clobazam): ✅ Pediatric Dose : Febrile Seizure 20 Sep, 2025

💊 Frisium (Clobazam)

  • Frisium is the brand name for Clobazam, a benzodiazepine.

  • It is NOT a fever medicine.

  • Its main use in pediatrics:

    • Epilepsy (as an add-on anti-seizure drug).

    • Febrile seizures (seizures triggered by high-grade fever in infants/toddlers).


Why Used in High-Grade Fever

  • In some infants/toddlers, high fever (>101–102°F / 38.5–39°C) can trigger febrile seizures.

  • Doctors may prescribe Frisium (Clobazam) 2.5 mg for a short course (1–3 days during fever) to prevent recurrence of febrile seizures.

  • It works by calming the overactive brain activity during fever.


⚠️ Important Points

  • Not an antipyretic → Frisium does not reduce fever (that’s the role of paracetamol/ibuprofen).

  • It is only for seizure prevention during fever in children with a history of febrile seizures.

  • Should not be given routinely in every child with fever.

  • Side effects: sleepiness, drowsiness, reduced alertness, rarely breathing suppression (so dose must be very precise).


✅ Usual Pediatric Dose (as used in febrile seizures, per IAP/AIIMS protocol)

  • 0.5–1 mg/kg/day, given in 2 divided doses, for 2–3 days during the febrile illness.

  • Example: A 12 kg toddler → ~6–12 mg/day → doctors may prescribe Frisium 2.5 mg once or twice daily depending on risk.

  • Always doctor-supervised — not to be given without medical advice.


👉 In Summary

  • Frisium 2.5 in high fever is not for treating fever, but to prevent febrile seizures in infants/toddlers who have a history of such seizures.

  • It is a temporary protective medicine, not a regular fever drug.

  • Always given along with paracetamol/ibuprofen (for fever control).